Portilla Dental Group Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PORTILLA DENTAL GROUP CORP

Practice address

403 W 5TH Ave Ste a
Escondido, CA 92025-4851

Phone

(760) 738-8300

Fax

(760) 738-9400

NPI assigned

Dec 8, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Harold Ignacio Portilla, DDSNPI 1023140688

Title

President Owner

Phone

(760) 738-8300

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold Ignacio Portilla, DDS

  • General Practice Dentistry
  • Escondido, CA
  • NPI 1023140688
  NPD Authorized official
• Lucas Alfredo Cala, D.D.S.

  • Dentist
  • Escondido, CA
  • NPI 1760946719
  NPD (past)
• Maria Fernanda Luna Montes, DDS

  • Student in an Organized Health Care Education/Training Program
  • Lake Elsinore, CA
  • NPI 1972216703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1457957185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W 5TH AVE STE A",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254851",
            "telephone_number": "760-738-8300",
            "fax_number": "760-738-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W 5TH AVE STE A",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254851",
            "telephone_number": "760-738-8300",
            "fax_number": "760-738-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTILLA DENTAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "PORTILLA",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "IGNACIO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "760-738-8300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sona Jean Ponsor-Lutsko, MFT
• Steven Timothy Popper, MD
• Michelle Mary Porche, APCC
• Elizabeth Porter
• Portilla Dental Group
• Harold Ignacio Portilla, DDS
• Robert Portillo, D.D.S
• Alicia Yvette Posada
• Post-Acute Physicians of California PC
• Eric Gordon Potwardowski, D.O.

• Dental Clinic/Center in Escondido, CA
• Providers in Escondido, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.